Trauma and Orthopaedics


Key People:

  • College Tutor:

    Mr Mike Thilagarajah

  • Clinical Director:

    Mr Jacek Adamek

  • Rota Manager:

    Heidi Cooper

  • Medical Education Officer:

    Glenda Lloyd

The Trauma and Orthopaedic Department is well established with a regular intake of general trauma including multiple injured patients. There are several sub specialties including hip, knee, foot and ankle and upper limb Surgeons.
Higher surgical trainees have ample opportunity to attend both elective and trauma operating lists and are encouraged to operate with supervision. There is a high turnover of hip and knee replacements and an efficient turnover of Day Surgery for shoulder, foot and ankle operations.
All Consultants are committed to training and past trainees have always had good numbers for their Log Books. Training opportunities are focused on theatre and ward-based environments with regular teaching trauma meetings and weekly local orthopaedic teaching.
The HEKSS webpages have details of the training offered regionally and can be viewed here: www.ksseducation.hee.nhs.uk/specialty/surgery/
The Curriculum can be seen at: www.iscp.ac.uk/

Trauma & Orthopaedics Training at DGT


The Trauma & Orthopaedic Programme at Dartford & Gravesham NHS Trust allows trainees to develop skills in line with the curricula, which are competency based, whilst being well supported by the multi-professional team.
Learning and service commitment are dependent on the grade of the trainee and during the trainee’s time at Darent Valley support is offered from the Programme Lead, Surgical College Tutor and allocated Educational and Clinical Supervisors, all of whom will give regular feedback about progress.

Foundation Year Two Trainees

F2s are encouraged to work alongside and in a similar fashion to CT colleagues. They are responsible for attendance at the OrthoGeriatrcian’s ward rounds with Dr Colin Weekes. This is an excellent teaching / business ward round providing a wealth of experience and exposure to the specialty.

Core Trainees

F2s are encouraged to work alongside and in a similar fashion to CT colleagues. They are responsible for attendance at the OrthoGeriatrcian’s ward rounds with Dr Colin Weekes. This is an excellent teaching / business ward round providing a wealth of experience and exposure to the specialty.
Core trainees engage in the educational programme alongside trainees on the Core Surgical Training Programme. Whilst in T&O trainees are supported by the Surgical Registrar who provides support and mentorship in collaboration with the Programme Lead.
Further teaching is organised within the Orthopaedic Department for this group.
The Handbook provides up-to-date information on the training available at the Trust as well as useful information on accommodation and the local area.

Posts and Rotations


Core trainees are appointed as part of the HEKSS’s Core Surgical Training Programme and are in post at DAG for one year. The four-month T&O post is part of the ST1 training year and links to a four-month post in General Surgery and a four-month post in Urology. The twelve-month ST2 post is in T&O at the Trust.
Click here to download a sample Core Surgical Training Programme at Darent Valley Hospital:

Education, Teaching and Academic Meetings


A compulsory teaching seminar is held on Mondays and Wednesdays at 12:30hrs in the Orthopaedic Seminar Room. This includes trainee led teaching, surgical technique discussion, etc.
A daily Trauma meeting is held at 08:00hrs daily. These meetings are for teaching also, so please feel free to ask any questions.
Additionally trainees are expected to join the Audit meetings and have access to Leadership forums and Simulation teaching events.

e-Portfolio

Trainees are required to keep their e-Portfolios up to date; this is regularly monitored by the Medical Education Department and support provided as required. The portfolios are regularly assessed at the Local Faculty Group Meetings with trainees being provided rapid supportive feedback.
The e-Portfolio may be accessed here: www.iscp.ac.uk/Default.aspx

Local Faculty Group


The Local Faculty Group (LFG) consists of the college tutor, medical education department, clinical and educational supervisors and allied healthcare professionals in the department.

LFG meetings take place every 4 months at the end of each rotation. This allows for feedback from both training and non-training grade doctors, and the opportunity to review highlights and areas of improvement/concerns. Trainee teaching attendance and e-portfolio progress are also discussed, to identify any factors contributing to limited educational opportunities and any further support required. 

Following the LFG, feedback is presented to the Local Education Board (LEB) by each department for review. 

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